LESLEY ELLEN SCHMALTZ, LSW, CSW
NPI 1124188107, individual, New Albany, IN, Social Worker, Clinical
- Hours beyond a day in 4 months, but with up to 557 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 34.3 | 24.2 | 16.2 | 22.0 | 485 | 1 | 90791 90832 90834 90837 | $56K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 30.9 | 23.7 | 15.8 | 23.4 | 517 | 1 | 90791 90832 90834 90837 | $57K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 27.3 | 23.6 | 15.8 | 21.5 | 488 | 1 | 90791 90832 90834 90837 | $55K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 26.9 | 24.8 | 16.5 | 23.3 | 557 | 1 | 90791 90832 90834 90837 | $60K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LESLEY ELLEN SCHMALTZ, LSW, CSW |
| Type | Individual |
| Status | Active |
| NPI issued | December 11, 2006, last updated July 8, 2007 |
| Practice location | 2818 GRANT LINE RD, New Albany, IN 47150-2492, 812-944-6120 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 5086 KY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T2023 | Medicaid service code | $443K | 40% | $365 | $332 (top 5% from $1K) | 67th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $377K | 34% | $142 | $191 (top 5% from $442) | 27th percentile | |
| H0032 | Medicaid service code | $91K | 8% | $65 | $98 (top 5% from $675) | 26th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $86K | 8% | $97 | $105 (top 5% from $228) | 42nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $77K | 7% | $69 | $101 (top 5% from $318) | 29th percentile | |
| 90832 | Psychotherapy, 30 minutes | $34K | 3% | $51 | $59 (top 5% from $239) | 42nd percentile | |
| 99050 | Medicaid service code | $603 | 0% | $5.15 | $13 (top 5% from $53) | too few months to rank |
In this area
6 providers in Floyd County, IN carry an indicator in the public record, with $4.0M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | DAVIESS COUNTY HOSPITAL New Albany, IN, ranked 6241 | $0 |
|
| 3 | BAPTIST HEALTHCARE SYSTEM, INC. New Albany, IN, ranked 6663 | $0 |
|
| 4 | JESSICA HUETT New Albany, IN, ranked 8515 | $3.4M |
|
| 4 | SCOTT BERRY New Albany, IN, ranked 9479 | $189K |
|
| 5 | ROSALITHA KENNEDY Greenville, IN, ranked 10267 | $489K |
|
| 5 | PHYSICIANS MEDICAL CENTER LLC New Albany, IN, ranked 11978 | $1K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.